Research On The Regularity Of TCM Syndrome And Treatment Of Chronic Obstructive Pulmonary Disease In Stable Stage Based On Literature

Purpose:By studying the clinical literature of chronic obstructive pulmonary disease in the stable phase in the past 5 years,using modern statistical software,the law of TCM syndromes and treatment is summarized,and the law is explored to clarify the advantages of TCM in the treatment of chronic obstructive pulmonary disease in the stable phase.Provide clinical reference for the standardized treatment of this disease by Chinese medicine,and improve the curative effect of treating chronic obstructive pulmonary disease.Materials and Methods:1.Through searching the Chinese Database(CNKI),Weipu and Wanfang,the search period is from July 2015 to August 2020.The primary search is carried out with the subject headings "chronic obstructive pulmonary disease,chronic obstructive pulmonary disease,chronic obstructive pulmonary disease,chronic obstructive pulmonary disease,lung inflation,COPD,chronic obstructive pulmonary disease,chronic obstructive pulmonary disease" as the subject headings."Traditional Chinese Medicine,Traditional Chinese and Western Medicine,Traditional Chinese Medicine,Traditional Chinese Medicine,Syndromes,Syndrome Types,and Syndrome Differentiation Types" for a second search.2.After the documents are obtained,they are screened according to the inclusion and exclusion criteria,and duplicate documents are deleted.The TCM syndrome types,syndrome elements,and drugs finally included in the literature are sorted and summarized using Excel tables,and frequency and frequency are analyzed.High-frequency drugs and high-frequency symptoms are respectively imported into SPSS25.0 statistical software for cluster analysis,and SPSS is used Modeler 18.0 software performs association rule analysis on high-frequency Chinese medicine.Result:1.Distribution of TCM syndrome types: A total of 29 syndrome types were collected from the included 111 literatures.The top 5 with the highest frequency of occurrence in the literature,followed by lung-spleen-qi deficiency syndrome,lung-kidney-qi deficiency syndrome,lung-qi deficiency syndrome,and lung Syndrome of deficiency of both kidney qi and yin,deficiency of both lung and spleen.2.Distribution of TCM syndrome elements: lung(80.49%)is the most common disease element,followed by kidney(45.53%)and spleen(37.4%);Qi deficiency(83.74%)is the most common disease element(83.74%)They were phlegm-dampness,yin-deficiency and blood stasis,and their constituent ratios were 16.26%,14.63%,and 12.2%.3.Symptom distribution: In the 111 papers included this time,a total of 80 symptoms were included,with a total of 1239 occurrences,and the frequency was ? 4 times.Among them,the symptoms with frequency ? 20 times were: wheezing(96 times),cough(95 times).Times),shortness of breath(93 times),fatigue(89 times),spontaneous sweating(71 times),easy cold(52 times),waist and knee weakness(49 times),mental fatigue(48 times),bad wind(40times),Anorexia(38 times),loose stools(35 times),expectoration(32 times),anorexia(28times),chest tightness(28 times),abdominal distension(25 times),tinnitus(25 times),low voice(21 times),gastric fullness(20 times).A total of 31 types of pulse conditions were included.Among them,the top five common pulse conditions were: deep thin pulse,weak pulse,weak pulse,thin pulse,heavy pulse.Common tongue quality is: pale tongue,red tongue,dark red tongue,dark purple tongue,pale tongue,tongue with petechiae;common tongue coating: white coating,little coating,thin white coating,white and greasy coating,peeling coating,Greasy coating,white and slippery coating,etc.;the tongue is more fat and large,with tooth marks and cracked tongue on the side;the tongue shape is swollen tongue.4.Classical prescription statistics: Include 111 Chinese medicine treatment of chronic obstructive pulmonary disease in the stable stage,a total of 115 prescriptions were used,and the classic prescriptions with frequency ?2 were used.Liujunzi Decoction was used most frequently,followed by Shenlingbaizhu powder.5.High-frequency drug distribution: A total of 160 Chinese medicines are involved,and the total frequency of use is 1239 times.Among them,a total of 39 Chinese medicines with a frequency of ?9 times,and a total of 11 Chinese medicines with a frequency of ?30 times,are licorice,astragalus,tuckahoe,Atractylodes,Codonopsis,Chenpi,Schisandra,Rehmannia,Pinellia,Salvia,Angelica.6.Distribution of high-frequency medicines: A total of 64 Chinese medicines with a frequency of use> 3 times were analyzed.The frequency of medicines was analyzed.The total frequency of use was 1091 times,accounting for 88.1% of the total frequency of medicines.According to statistics,tonic drugs are used the most frequently,with a frequency of 47.29%and a total of 516 times.In the tonic medicine,the qi medicine is the main component.The remaining drugs in descending order of frequency of use are: phlegm,cough and asthmatic drugs(158 times),qi-regulating drugs(109 times),blood circulation and blood stasis drugs(80 times),hydration and dampness drugs(68 times),etc.Conclusion:1.The pathogenesis of this disease is the abnormality of lung xuansu,mainly due to deficiency of lung,spleen and kidney.2.The nature of the disease is mainly based on the deficiency of the original symptoms.3.The disease is mainly located in the lungs,followed by the kidneys and spleen.The disease is mainly characterized by qi deficiency,combined with phlegm dampness,yin deficiency and blood stasis.4.The main symptoms of this disease are deficiency of lung and spleen qi,deficiency of lung and kidney qi,deficiency of lung qi,deficiency of both lung and kidney qi and yin,and deficiency of both lung and spleen.5.In terms of medication for this disease,tonic drugs accounted for the highest frequency,followed by phlegm-reducing cough and asthma-relief drugs,qi-regulating drugs,blood stasis-removing drugs,and diuresis and dampness drugs.Therefore,the above-mentioned drugs should be used in clinical application.6.The location of the disease is mainly in the lungs,and the mutual accumulation of phlegm and blood stasis is the main pathological factor.Therefore,in clinical treatment,the method of resolving phlegm,promoting blood circulation and removing blood stasis should be combined on the basis of strengthening the body and strengthening the body.